Anthony DiGiorgio, DO, MHA

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Anthony DiGiorgio, DO, MHA

Anthony DiGiorgio, DO, MHA

@DrDiGiorgio

Neurosurgery and Health Policy. Views my own. Co-Host: @DRsLoungePod Author: https://t.co/yCG1hZyvF9

San Francisco, CA Katılım Ocak 2013
3.4K Takip Edilen15.6K Takipçiler
Anthony DiGiorgio, DO, MHA retweetledi
Handre
Handre@Handre·
They told you Obamacare would discipline the insurance giants. Force them to compete. Drive down premiums through the magic of an online marketplace with a clean government website. Then you watched the website crash in October 2013, and you watched UnitedHealth, Aetna, and Anthem post record profits while your deductible climbed past $6,000. Here is what the exchanges actually built. The law forced you to buy a product under penalty of the individual mandate, then handed the insurers a fountain of taxpayer cash to make the product look affordable. Premium tax credits flowed straight to the carriers, not to you. In 2017 the federal government paid roughly $42 billion in subsidies, and that money landed in corporate accounts. The cost-sharing reduction payments did the same thing. The risk corridor program promised to backstop insurer losses outright, which is to say it socialized the downside while the executives kept the upside. Guaranteed customers. Guaranteed revenue. A captive market created by statute. Any cartel in history would have killed for terms like that. Free market economists have a plain name for this arrangement: rent-seeking. When a firm earns its money by extracting subsidies through political channels instead of by serving customers who choose freely, it stops being a business and becomes a tax farmer. The insurers lobbied for the mandate because they understood the arithmetic better than the voters did. America's Health Insurance Plans spent millions backing the bill, then acted shocked when premiums on the individual market more than doubled between 2013 and 2017 in many states. They were not the victims of the law. They wrote the parts that mattered. Strip away the subsidy and the whole structure collapses, because the prices were never real prices. A real price emerges when a buyer who can walk away meets a seller who can lose the sale. The exchange killed both conditions. You could not walk away without a penalty, and the seller could not lose because Washington covered the gap. This is not a market. The people who keep calling it one are counting on you not noticing who cashes the check.
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Anthony DiGiorgio, DO, MHA retweetledi
Anil Makam
Anil Makam@AnilMakam·
Things this author has gotten wrong, like royally wrong 1. Covid causes multisystem organ failure Narrator: given 99% pf people have gotten covid, we haven't seen this after 6 years. Life expectancy increased. Employment is higher. Fewer heart attacks 2. Repeat covid infection is waaaaay worse Narrator: its not. Immunity affords protection. People sick enough to land in a VA hospital twice, are sicker than those once. Rocket science, i know 3. Glps treat every disease, including mental health and dementia Narrator: it is one of our great drugs. And it does not work miracles Now enter this study Editorial & journalism capture of ideology Same as MAGA, just opposite direction Except these are our "responsible" institutions Why we need reform Why we need randomization Why people should not trust them without vetting
Matthew Herper@matthewherper

Covid vaccination cut risk of adverse heart events, large study finds statnews.com/2026/06/15/cov…

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Anthony DiGiorgio, DO, MHA retweetledi
Anthony DiGiorgio, DO, MHA retweetledi
Heath Veuleman
Heath Veuleman@HeathVeuleman·
The next time some goober brings up the No Surprises Act (which has saved patients tens of millions of dollars), or any other edge case in healthcare, you might want to remind them that we spend an unquantifiable amount of money annually on “care navigation.” Virtually all “care navigation” and “care navigators” are provided by not-for-profits. Why can’t we put a finite point on how much is spent exactly? Well, not all of the spending is “medical services” and so it doesn’t fall into a clean bucket by analyzing a particular HCPCS code. The monies come from various agencies - the USDA to the DOJ - via grants. In addition to the bona fide billable service that’s captured within the NHE. But what really gets me is not that we are most like spending between $50 and $100 billion dollars on a completely superfluous “service” - our outcomes are getting worse and the system is getting more expensive. That’s the two main things “care navigation” is supposed to help.
Matt Whitlock@MattWhitlock

The non-profit healthcare system is so complex there’s now non-profits to help patients ACCESS the nonprofit charity care our taxes subsidize. That’s because these hospitals want the charity care FUNDING for CEO salaries, Super Bowl commercials, and everything but charity care.

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Dutch Rojas
Dutch Rojas@DutchRojas·
They call it Medicare for All because “Nationalize Every Doctor, Hospital, Medical Record and Healthcare Dollar” did poorly with the focus groups.
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Anthony DiGiorgio, DO, MHA retweetledi
Anthony DiGiorgio, DO, MHA
@JeromeAdamsMD Yes! We agree on this. We made such progress ridding the air of the stench of tobacco and now everything smells like weed. Even inside of hospitals we can’t escape the smell.
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Jerome Adams
Jerome Adams@JeromeAdamsMD·
I’ve spent the past week in NY. Regardless of how you feel about weed, we’ve completely regressed on clean air + basic respect for others’ right to breathe. Everywhere -elevators, crowded sidewalks, restaurants, around kids- the air reeks of weed (if people aren’t blowing it directly in your face). If it was cigarette smoke, would we shrug it off as the “new normal”? 🤔
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Anthony DiGiorgio, DO, MHA retweetledi
alexjm 🇺🇸
alexjm 🇺🇸@alexjmingolla·
“American stadiums are horrible, they shouldn’t host” “Ok the stadiums are nice but they won’t fill” “The stadiums filled but the games will suck” “The games are exciting but American cities are terrible” “American cities are only fun because they’re rich”
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Anthony DiGiorgio, DO, MHA retweetledi
Crémieux
Crémieux@cremieuxrecueil·
Went on a podcast that gave me a bunch of merch including a Kindle loaded up with books about markets.
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Crémieux
Crémieux@cremieuxrecueil·
What's a good solution to when academics blatantly lie to the public? It's a major problem that I've never seen a *real* solution to.
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Anthony DiGiorgio, DO, MHA retweetledi
Paragon Health Institute
Paragon Health Institute@Paragon_Inst·
In 2012, 26% of physicians were employed by hospitals. By 2024, more than 55%. Government policy favors consolidation while undermining physicians' ability to lead their own organizations. The result: less choice and rising costs without quality gains. t2m.io/Qy6jvc0
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Anthony DiGiorgio, DO, MHA retweetledi
Paragon Health Institute
Paragon Health Institute@Paragon_Inst·
Chefs can own restaurants. Lawyers can own law firms. Yet for 16 years, federal law has stood in the way of doctors owning hospitals. Lifting restrictions on physician-owned hospitals would restore competition, expand patient choice, and help lower prices. paragoninstitute.org/paragon-progno…
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Anthony DiGiorgio, DO, MHA retweetledi
Paragon Health Institute
Paragon Health Institute@Paragon_Inst·
Oregon is exploiting Medicaid financing rules to generate federal funds without meaningful state contribution. It exempts its largest hospital from provider taxes but includes its revenue in the tax base—lowering the apparent rate. CMS should shut it down. t2m.io/1TYfyS9
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Nikhil Krishnan
Nikhil Krishnan@nikillinit·
Medical malpractice carriers are not built for the new world order When doctronic announced their AI doctor in Utah, my first question was how does liability and malpractice work? Around a similar time, Prenuvo was hit with a malpractice suit around a doctor missing something on the scan I have gone down the rabbithole of malpractice - the next series is about how malpractice is changing significantly I think you'll really enjoy it
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